Individual provider Active NPI

Margaret E Putnam-Pite, LCSW

  • Clinical Social Worker
  • Soquel, CA
National Provider Identifier
1396238382
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW29775 Issued in CA
Practice address
2820 Porter St
Soquel, CA 95073-2423
Phone
(831) 334-8531
NPI assigned
Jun 13, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW29775 CA Primary

Addresses

Primary practice location

2820 Porter St
Soquel, CA 95073-2423

Mailing address

212 Liberty St
Santa Cruz, CA 95060-6515
Phone (831) 334-8531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Apr 1, 2025 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW29775CAMDClinical Social Worker
29775CAMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1396238382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 LIBERTY ST",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950606515",
            "telephone_number": "831-334-8531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 PORTER ST",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732423",
            "telephone_number": "831-334-8531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTNAM-PITE",
        "first_name": "MARGARET",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-13",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW29775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

Verify at the official NPI Registry.